Victoria Vivernos

NPI #1073264990 in Wildomar, California

Provider Information

NPI Number: 1073264990
Entity Type: Individual
Name: Victoria Vivernos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 12, 2022
Last Updated: Jan 12, 2022

Practice Location

Address: 32395 CLINTON KEITH RD STE B12
City: Wildomar
State: California
ZIP Code: 92595-7568
Phone: (951) 200-5532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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